Insurance Certificates 2025/26 Gonsalves & Sono CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDD/YYYY)
1 5/19/2025
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER
McGee & Thielen Insurance Brokers, Inc.
NAME:
PHONE
3840 Rosin Court, Suite 245
Sacramento, CA 95834
'"c. N0•EXu;
ADDRESS:
www.mcgeethielen.com 0633187
INSURER A :
INSURER B
INSURED
Joe A Gonsalves and Sons Inc.
1201 K Street
INSURER C
INSURERD:
Suite 1850
INSURER E
Sacramento CA 95814
COVERAGES CERTIFICATE NUMBER: 85402534 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MPOLICY
LT / DVrfM MM! D/YYYY Y EXP LIMITS
A
COMMERCIALGENERALLIABILITY
✓
�/
16609794P909-TCT-25 6/17/2026
6/17/2026
EACH OCCURRENCE
$2000000
CLAIMS -MADE n OCCUR
_
AMA *iiE'NT€t5
PREMISES aoccurrencel
$106 000
MED EXP one )
$ 5 000
PERSONAL & ADV INJURY
$ Excluded
GEN'L
GENERAL AGGREGATE
$4,000,000
AGGREGATE LIMIT APPLIES PER:
POLICY JECOT- LOC
✓
PRODUCTS - COMP/OP AGG
$ 4 00O 000
$
OTHER:
A
AUTOMOBILE
LIABILITY
16609794P909-TCT-25
6/17/2025 6/17/2026
COEa aBlI ED1SINGLE LIMIT
$1 OOO O00
$
ANY AUTO
BODILY INJURY (Per person)
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
JI(
PROPERTYDAMAGE
Per accident
$
HIRED NON -OWNED
AUTOS ONLY LAUTOS ONLY
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
HCLAIMS-MADE
AGGREGATE
$
EXCESS LIAR
DED RETENTION
$
✓
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y 1 N
ANYPROPRIETOR/PARTNER/EXECUTIVE I
OFFICER/MEMBER EXCLUDED?
N / A
✓ 57WECZ15671
4/1/2025
4/1/2026
ER
'/ STATUTE ERA
E.L. EACH ACCIDENT
$1 000000
E.L. DISEASE - EA EMPLOYE
$
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$1.000.000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
Certificate holder is an additional insured per the attached blanket form CIS D1 05. Primary and Non -Contributory wording applies per the attached
blanket form CG DO 37. Waiver of subrogation applies per the attached endorsement CG2404 10 93
Waiver of subrogation applies to workers compensation per attached WC 040306 form.
GCKIIFIIrAIC HULUCK GANULLLAIIUN
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of La Quinta THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
78495 Calle Tampico ACCORDANCE WITH THE POLICY PROVISIONS.
La Qunita CA 92253 /J AUTHORIZED REPRESENTATIVE
Charlotte Brown
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
85402534 1 •25/26 Master GL/AL/WC I Charlotte Brown 1 5/19/2025 5:03:59 PM (PDT) I Page 1 of 4
I6609794P909-TCT 25
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED --OWNERS, LESSEES
OR CONTRACTORS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PROVISIONS:
1. WHO IS AN INSURED (SECTION 11) is amended
to include as an Insured any person or organiza-
tion (called hereafter "additional insured") whom
you have agreed in a written contract, executed
prior to loss, to name as additional insured, but
only with respect to liability arising out of "your
work" or your ongoing operations for that addi-
tional insured performed by you or for you.
2. With respect to the Insurance afforded to Addi-
tional insureds the following conditions apply:
a. Limits of Insurance — The following limits of
liability apply:
1. The limits which you agreed to provide;
or
2. The limits shown on the declarations,
whichever is less.
b. This insurance is excess over any valid and
collectible insurance unless you have agreed
In a written contract for this insurance to
apply on a primary or contributory basis..
3. This insurance does not apply.
a. on any basis to any person or organization
for whom you have purchased an Owners
and Contractors Protective policy,
b. to "bodily injury," "property damage," "per-
sonal injury," or "advertising injury" arising
out of the rendering of or the failure to render
any professional services by or for you, in-
cluding:
1. The preparing, approving or failing to
prepare or approve maps, drawings,
opinions, reports, surveys, change or-
ders, designs or specifications; and
2. Supervisory, inspection or engineering
services.
CG D1 05 04 94 Copyright, The Travelers indemnity Company, 1994.
Includes Copyrighted Material from Insurance Services Office, inc.
Page 1 of 1
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COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
OTHER INSURANCE - ADDITIONAL INSUREDS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PROVISIONS
COMMERCIAL GENERAL LIABILITY CONDITIONS
(Section IV), Paragraph 4. (Other Insurance), is
amended as follows:
1. The following is added to Paragraph a. Primary
Insurance:
However, if you specifically agree in a written con-
tract or written agreement that the insurance pro-
vided to an additional insured under this
Coverage Part must apply on a primary basis, or
a primary and non-contributory basis, this insur-
ance is primary to other insurance that is avail-
able to such additional insured which covers such
additional insured as a named insured, and we
will not share with that other insurance, provided
that:
a. The "bodily injury" or "property damage" for
which coverage is sought occurs; and
b. The "personal injury" or "advertising injury" for
which coverage is sought arises out of an of-
fense committed
subsequent to the signing and execution of that
contract or agreement by you.
2. The first Subparagraph (2) of Paragraph b. Ex-
cess Insurance regarding any other primary in-
surance available to you is deleted.
3. The following is added to Paragraph b. Excess
Insurance, as an additional subparagraph under
Subparagraph (1):
That is available to the insured when the insured
is added as an additional insured under any other
policy, including any umbrella or excess policy.
CG DO 37 04 05 Copyright 2005 The St. Paul Travelers Companies, Inc. All rights reserved. Page 1 of 1
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAIVER OF OUR RIGHT TO RECOVER FROM
OTHERS ENDORSEMENT - CALIFORNIA
Policy Number: 57WECZI5671 Endorsement Number:
Effective Date: 4/1/2025 . Effective hour is the same as stated on the Infdrmation Page bf the policy.
Named Insured and Address:
Joe A Gonsalves and Sons Inc.
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not
enforce our right against the person or organization named in the Schedule. (This agreement applies only to the
extent that you perform work under a written contract that requires you to obtain this agreement from us.)
You must maintain payroll records accurately segregating the remuneration of your employees while engaged in
the work described in the Schedule.
The additional premium for this endorsement shall be
premium otherwise due on such remuneration.
Person or Organization
City of La Quinta
78495 Calle Tampico
La Qunita CA 92253
SCHEDULE
of the California workers' compensation
Job Description
Countersigned by
Authorized Representative
Form WC 04 03 06 (1) Printed in U.S.A.
Process Date:
Policy Expiration Date: 4/1/2026
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